Delayed diagnosis of pediatric osseous blastomycosis of the hand: A brief report

Abstract

Osseous blastomycosis of small bones of the pediatric hand is rare. A thirteen-year-old male was reported with a missed diagnosis of right ring finger blastomycosis osteomyelitis and six-week delay in treatment. He was treated successfully with surgical debridement and long term itraconazole. Blastomycosis should be considered in any patient with a lytic bone lesion and prompt tissue cultures are crucial to timely and appropriate treatment.